Impact of Different Isokinetic Movement Patterns on Shoulder Rehabilitation Outcome

Martin Missmann, Katrin Gollner, Andrea Schroll, Michael Pirchl, Vincent Grote and Michael J. Fischer ()
Additional contact information
Martin Missmann: Austrian Workers’ Compensation Board AUVA, 1201 Vienna, Austria
Katrin Gollner: VAMED Rehabilitation Center Kitzbuehel, Hornweg 32, 6370 Kitzbuehel, Austria
Andrea Schroll: Department of Internal Medicine II, Medical University of Innsbruck, 6020 Innsbruck, Austria
Michael Pirchl: Ludwig Boltzmann Institute for Rehabilitation Research, Kurbadstrasse 14, 1100 Vienna, Austria
Vincent Grote: Ludwig Boltzmann Institute for Rehabilitation Research, Kurbadstrasse 14, 1100 Vienna, Austria
Michael J. Fischer: VAMED Rehabilitation Center Kitzbuehel, Hornweg 32, 6370 Kitzbuehel, Austria

IJERPH, 2022, vol. 19, issue 17, 1-12

Abstract: Shoulder pain is regularly associated with limited mobility and limitations in activities of daily living. In occupational therapy, various interventions, including active isokinetic training with a Baltimore Therapeutic Equipment (BTE) Work Simulator, help the patient improve shoulder mobility and alleviate pain. This randomized controlled cohort study aims to evaluate the impact of different isokinetic movement patterns on the DASH score, pain, and objective performance measures, such as range of motion (ROM) and hand grip strength. Patients that participated in a specific 3-week inpatient orthopedic rehabilitation were divided into two groups. The first group (UNI-group, n = 9) carried out uniplanar exercises for shoulder flexion, abduction, and external rotation. The patients in the second group (ADL-group, n = 10) imitated multiplanar everyday movements, such as climbing on a ladder, loading a shopping cart, and raising a glass to their mouth. Compared to the UNI-group, the ADL-group improved significantly in DASH scores (mean −10.92 ± 12.59 vs. −22.83 ± 11.31), pain (NPRS −1.11 ± 2.37 vs. 3.70 ± 2.00), and shoulder abduction (+2.77 ± 15.22 vs. +25.50 ± 21.66 degrees). In conclusion, the specific BTE exercise program with multiplanar movement patterns contributed considerably to the therapeutic improvement.

Keywords: shoulder; rehabilitation; isokinetic training; DASH questionnaire (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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